SearchMichigan376J00000X

Angela Fagans

NPI 1417773565 · on the registry since 2024 · sole proprietor

Practice

Address
14164 Rutherford St
Detroit, MI 48227
Phone
(734) 469-8820

Registry record

Primary taxonomy
376J00000X
376J00000X
Sex
Female
Record last updated
2024-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan